[Research advances in the application of bone metabolic markers in children's diseases associated with growth and

F Yu1, Y M Jiang1

  • 1Department of Laboratory Medicine, West China Second University Hospital, Sichuan University, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu 610041, China.

Insights

Rising rates of childhood growth disorders are linked to malnutrition and endocrine issues. Bone metabolism markers offer insights for early diagnosis and monitoring of these conditions.

Area of Science:

  • Pediatrics
  • Endocrinology
  • Bone Biology

Background:

  • Childhood growth and development diseases like rickets, obesity, dwarfism, and precocious puberty are increasing.
  • These conditions are often associated with malnutrition and endocrine system disorders in children.
  • Bone serves as a structural framework and is a key endocrine organ and hormone target.

Purpose of the Study:

  • To summarize and comment on the characteristics, classification, and applications of bone metabolism markers.
  • To provide a reference for the prevention, early diagnosis, and treatment monitoring of pediatric growth and development diseases.

Main Methods:

  • Literature review and synthesis of existing studies on bone metabolism markers.
  • Analysis of marker changes in various pediatric growth and development diseases.
  • Commentary on the clinical utility of these markers.

Main Results:

  • Bone metabolism markers' levels change significantly in children's growth and development diseases.
  • These markers are crucial for understanding bone formation and resorption processes.
  • Specific markers show distinct patterns related to different pediatric endocrine and nutritional disorders.

Conclusions:

  • Bone metabolism markers are valuable tools for managing pediatric growth and development diseases.
  • Understanding these markers aids in early detection and effective treatment monitoring.
  • Further research into bone metabolism markers can improve pediatric healthcare outcomes.

Related Concept Videos

Hormones and Bone Tissue01:17

Hormones and Bone Tissue

The endocrine system produces and secretes hormones, which interact with the skeletal system. These hormones control bone growth, maintain bone once it is formed, and remodel it.
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
2.8K
Bone Disorders01:29

Bone Disorders

Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.8K
Osteoclasts in Bone Remodeling01:31

Osteoclasts in Bone Remodeling

Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during...
3.1K
Role of Vitamins in Maintaining Bone Health01:25

Role of Vitamins in Maintaining Bone Health

The growth and maintenance of bone are regulated by a combination of nutritional factors, including vitamins, such as vitamin A, B12, C, D, and K.
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
3.6K
Bone Remodeling01:40

Bone Remodeling

Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
38.5K
Changes in the Appendicular Skeleton with Age01:09

Changes in the Appendicular Skeleton with Age

The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
2.2K